SOUTHERN KENTUCKY MEDICAL ASSOCIATES, PSC
NPI 1821392515
General Practice in Russell Springs, KY

Q: What is Southern Kentucky Medical Associates, Psc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since January 10, 2011

72 JOE T. PETTEY DR, RUSSELL SPRINGS, KY 42642(270) 866-4357 Get Directions Write a Review

NPPES record last updated: February 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southern Kentucky Medical Associates, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN KENTUCKY MEDICAL ASSOCIATES, PSC (NPI 1821392515) is a healthcare organization registered as a general practice in Russell Springs, Kentucky and active in the NPI registry since January 2011. The organization lists Angela Cundiff-roy, President, as its authorized official.

NPPES Registry Identity

NPI1821392515

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSOUTHERN KENTUCKY MEDICAL ASSOCIATES, PSC

Location Address72 JOE T. PETTEY DRRussell Springs, KY 42642

Mailing AddressPo Box 1383Russell Springs, KY 42642-1383

Phone(270) 866-4357

Organization SubpartNo

Authorized OfficialAngela Cundiff-royPresident · (270) 866-4357

Enumeration DateJanuary 10, 2011

Last NPPES UpdateFebruary 14, 2011

✔ NPI 1821392515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

72 JOE T. PETTEY DR, Russell Springs, KY 42642

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Kentucky Medical Associates, Psc's NPI number?

The NPI number for Southern Kentucky Medical Associates, Psc is 1821392515. It was assigned to this organization in the NPPES registry on January 10, 2011.

Where is Southern Kentucky Medical Associates, Psc located?

Southern Kentucky Medical Associates, Psc is located at 72 Joe T. Pettey Dr, Russell Springs, KY 42642. The listed phone number is (270) 866-4357.

What is Southern Kentucky Medical Associates, Psc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Southern Kentucky Medical Associates, Psc was last updated on February 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.